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procedure classifications
- emergent: threatening life or limb
- urgent: treatment within a relatively short period
- elective: does not need to be performed immediately
- optional: not necessary to protect life or limb
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some specialty surgeries
- general
- cardio thoracic
- urology
- peripheral vascular
- ENT
- orthopedic
- ob/gyn
- nero
- eyes
- plastic
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history of surg tech
- late 19th century theatre technician "surgery beadle"
- 1948 formation of operating theatre technicians
- early 1950s ORTs (STs) were trained in the military, or OJT in the civilian population
- first ORT book published
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early 1990s
core curriculum and job description was developed for surgical first assistants
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surgical technologist
- allied health professional who works closely with the surgeon delivering patient care
- **a health care professional is anyone who has special training and education in a given field
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surg tech works as a member of the team to ensure....
that the operative procedure is conducted under optimal conditions
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nonprofit hospitals
- general, acute care hospitals defined as nontaxable by the federal government
- owned by private organization
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health maintenance organization
acts both as an insurer and provider of medical services
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hospital organization
- CEO- chief excutive officer
- CFO- chief financial officer
- DON- director of nursing
- board of directors
- chief of staff
-
hospital departments
- maintenance
- house keeping
- food services
- purchasing/central services
- medical records
- nursing care units
- diagnostic imaging
- laboratory
- pharmacy
- physical/occupational therapy
- administration
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organizations related to health care
- DHHS- dpt of health and human services
- CMS- centers for medicare and medicaid
- SSA- social security administration
- JCAHO- joint commision
- ACS- american college of surgeons
- AST- association of surgical tech
- AORN- association of peri-operative registered nurses
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characteristics needed
- able to work quickly and accurately
- able to apply attention to detail
- able to prioritize
- stable temerament
- manual dexterity and stamina
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surgical case management
- preop- prior to initiation of the surg case
- intraop- while procedure is being performed
- postop- when surgical procedure is terminated
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nonsterile team members
- any member of the surgical team not donned in sterile gown and gloves
- circulator, anesthesia
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sterile team members
- any member of the surgical team donned in sterile gown and gloves
- surgeon, assistant, surg. tech
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role of the surg tech
- maintain sterile field
- other duties include but not limited to:
- gathering, opening sterile supplies
- organizing sterile supplies
- passing instruments
- anticipating the surgeion's needs
- second assisting the surgeon
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other role of the surg tech
- cares for surgical specimens
- applies sterile surgical drapes
- prepares and handles pharmaceuticals at the surgical field
- applies sterile dressing
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career development and opportunities
- surg. tech instructor program director
- surgical assistant
- medical sales
- traveling surg tech
- tech writing
- medical missions
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critical principles
- surg techs should hold the certification appropriate to each role
- surg tech should meet educational, competency, and legal requirements
- state law and hospital policy should be followed without exception
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goals of the AST
- promote formal education
- continuing education
- legislative efforts
- ensure highest quality of pt care
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communication
- effective use of communication skills is essential to teamwork
- keep communication focused on the pt and procedure
- express needs clearly
- always repeat back complicated orders
- be observant of nonverbal communication
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ambulatory surg facilities
- free standing specialty centers
- have surgery and leave the same days
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proprietary hospitals
investor owned and operated by an individual or corporation
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acronym
word formed by the intial letters of the principal compnets of a compound term
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ARC-ST
accreditation review committee on education in surg tech
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circulator
a RN, LPN or LVN, or a surgical tech - nonsterile surg team member who move about the periphery of the sterile field
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competency
- skill
- ability
- statements that establish the level of skill or quality needed to be able to perform job duties
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core curriculum
recommended appropriate curriculum template for an educational program that provides the expected base of knowledge for entry level into the chosen profession
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DO
doctor of osteopathy -- physician who treats pts in a holistic manner
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NBSTSA
national board of surg tech and surg assisting; responsible for credentials and national cert exam
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versalius
father of modern anatomy
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HMO
health maintenance orgainzation
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